肿瘤性贫血发病机制研究进展
Advances in the Pathogenesis of Cancer-Related Anemia
投稿时间:2025-05-25  修订日期:2025-11-24
DOI:
中文关键词:  肿瘤性贫血  炎性因子  铁代谢异常  肿瘤微环境  免疫系统  发病机制
英文关键词:Cancer-Related Anemia (CRA)  inflammatory factors  abnormal iron metabolism  tumor microenvironment  immune system  pathogenesis
基金项目:北京市垂杨柳医院栋梁项目(项目编号:YN202402)
作者单位邮编
叶芳▲* 清华大学附属垂杨柳医院血液科(肿瘤内科) 100022
摘要点击次数: 0
全文下载次数: 0
中文摘要:
      肿瘤性贫血(Cancer-Related Anemia, CRA)是肿瘤患者常见的并发症,严重影响患者的生活质量和预后。其发病机制复杂。炎症因子可激活多种信号通路,上调铁调素(hepcidin),通过调控铁代谢、抑制促红细胞生成素(Erythropoietin ,EPO)信号通路及直接损伤骨髓造血功能等多种途径影响铁代谢(如铁调素、BMP6基因、铁蛋白、铁转运蛋白等)和红细胞生成;基因突变(铁代谢相关基因突变、红细胞生成相关基因突变、DNA修复与骨髓抑制相关基因突变、炎症相关基因突变等)、肿瘤微环境异常以及信号通路异常(JAK/STAT通路、 NF-κB通路、TGF-β/Smad通路等)均与CRA发生有关。本文综述了肿瘤性贫血发病机制的最新研究进展,旨在为临床实践提供理论依据。
英文摘要:
      Cancer-Related Anemia (CRA) is a common complication in cancer patients and seriously affects the quality of life and prognosis of patients. Its pathogenesis is complex.Inflammatory factors can activate various signaling pathways and up-regulate hepcidin, thereby affecting iron metabolism (such as hepcidin, BMP6 gene, ferritin, and transferrin) and erythropoiesis through multiple pathways, including regulating iron metabolism, inhibiting the erythropoietin (EPO) signaling pathway, and directly damaging bone marrow hematopoietic function. Genetic mutations (including mutations in genes related to iron metabolism, erythropoiesis, DNA repair and bone marrow suppression, and inflammation), abnormal tumor microenvironment, and abnormal signaling pathways (such as JAK/STAT pathway, NF-κB pathway, and TGF-β/Smad pathway) are all associated with the occurrence of cancer-related anemia (CRA).This paper reviews the latest research progress in the pathogenesis of Cancer-Related Anemia (CRA), aiming to provide a theoretical basis for clinical practice.
在线阅读     查看/发表评论  下载PDF阅读器